A revolutionAry instrument designed

for procedures requiring criticAlly precise

temperAture control to reduce sticking And

chArring while coAgulAting.

Benefit from codman electrosurgery partnered research and product design:

responding to the needs of the surgeonThrough our long-standing worldwide partnerships with the neurosurgical community, we learned that excess heat at the tips of bipolar forceps causes a number of concerns. Most evident is sticking and charring which can tear delicate tissue. What’s more, excess heat also causes inadvertent peripheral tissue damage as well as necrosis of valuable tissue in the surrounding area. As a result, surgeons have had to adjust their techniques.

At Codman, we knew a revolutionary solution was required. And what we developed is proving to be a milestone in Bipolar Forceps use.

2 3

2 3

Virtually No StickiNg.

With minimal tissue adhesion, ISOCOOL significantly reduces the need to clean during the procedure.

the science of controlled heat iNfrared PhotograPhy of traditioNal BiPolar forcePS aNd the iSocool BiPolar forcePS

coMPetitiVe BiPolar forcePS ShoWS eXceSS heat

With the bipolar generator setto 35 Malis units, the tissue temperature escalated to well over 75 degrees C and heat was visibly dispersed well beyond the tips of the forceps.

iSocool BiPolar forcePS Stay cool aNd coNtrolled

AHT allows ISOCOOL Bipolar Forceps to achieve effective coagulation temperatures. At 35 Malis Units, the ISOCOOL forceps maintained temperatures of approximately 55-65 degrees C.

leading edge electrosurgeryTHe OrIgIn OF ACTIve HeAT TrAnSFer

Surgeons identified sticking and charring as a major problem during electrosurgical procedures. This is caused by excess heat buildup at the tips of traditional bipolar forceps, regardless of the metals used or amount of irrigation added to the site. Together we began to focus on proprietary heat pipe technology that could effectively control the heat output at the tips while allowing effective tissue coagulation temperatures to be achieved.

Our solution is Active Heat Transfer (AHT) Technology. It continuously transfers excess heat away from the tips and allows effective coagulation temperatures to be achieved. The ISOCOOL Bipolar Forceps from Codman virtually eliminates sticking and charring of delicate tissue, minimizing the need to remove the forceps from the surgical site, clean them, and then reorient. The result? Surgeons can perform more efficiently and benefit from minimal tip contact temperature and thermal spread in the surrounding tissue.

54

the science Behind active heat transfer AHT technology actively draws excess heat away from the tips allowing for effective coagulation temperatures to be achieved.

InSIde THe HeAT pIpe, AHT enABLeS A COnTInUOUS CyCLe OF vApOrIzATIOn, TrAnSpOrT, COndenSATIOn, And reTUrn.

Here’S HOW IT WOrkS: • The heat pipe consists of a vacuum-sealed tube injected with a

small amount of two-phase working fluid.

• The heat generated at the distal end of the tip is immediately drawn into the tube’s fluid and vaporized at the point of heat input.

• The vapor travels due to the positive pressure gradient created by the vaporization to the proximal end of the tube, where the vapor condenses into the wicking structure.

• The wicking structure allows the cooled, condensed working fluid to return to the distal end of the tip by capillary action, even working against gravity.

enlarged wicking structure

enLArged dIAgrAM OF AHT FrOM THe TIp TO THe InTerIOr HeAT pIpe

Ac

tive

He

At trA

ns

fer

enlarged wicking structure

54

in the most delicate procedures, there is no room for error - instrumentation must be of the highest quality. isocool doesn’t compromise. By incorporating the Active heat transfer technology along with our gold plated tips, surgeons now have an instrument that enhances their ability to coagulate tissue.

isocoolSTerILe, SIngLe-USe gOLd TIpS Are deSIgned FOr prOCedUreS reqUIrIng preCISe TeMperATUre COnTrOL.

procedure Benefits

6 7

66 7

six reasons why isocool is an extremely valuaBle instrument for tissue coagulation.

continuous coagulation virtually eliminates interruptions

enhances ability to coagulate delicate tissue in fine detail

reduces surgeon frustration and fatigue, leading to increased efficiency

can eliminate vessel rebleeding

can reduce inadvertent collateral and peripheral tissue damage

shorter procedures are a benefit to surgeons, hospitals and ultimately the patient

the isocool advantages:

1

2

3

4

5

6

8 9

confirming the surgical need for isocool technology: neurosurgery 53:907-934, 2003

“The bipolar electrocoagulator has become fundamental to neurosurgery because it allows accurate fine coagulation of small vessels, minimizing the dangerous spread of current to adjacent neural and vascular structures. It allows coagulation in areas where unipolar coagulation would be hazardous, such as near the cranial nerves, brainstem, cerebellar arteries, or fourth ventricle.

To avoid sticking after coagulation, the points of the forceps should be cleaned after each application to the tissue. If charred blood coats the tips, it should be removed by wiping with a damp cloth rather than by scraping with a scalpel blade, because the blade may scratch the tips.

Shortening of exposure times tends to reduce the buildup of heat and thermal effects on tissues adjacent to the target.”

gOLd TIpS

STerILe SIngLe-USe TIpS

ACTIve HeAT TrAnSFer

FIve TIp COnFIgUrATIOnS

iSocool addreSSeS the MoSt critical requireMeNtS of NeuroSurgery.

The ISOCOOL Bipolar Forceps from Codman virtually eliminate sticking and charring of delicate tissue, minimizing the need to remove forceps from the surgical site, clean them, and then reorient. Surgeons can perform more efficiently and benefit from minimal tip contact temperature and thermal spread in the surrounding tissue.

8 9

the isocool Bipolar forceps

alb

ert l

. rho

ton,

Jr.,

m.d

.

ordering & lengthiSocool BiPolar forcePS total leNgth aNd WorkiNg leNgth forcePS

ITeM TIp SIze8.5” total leNgth aNd a 3.5” WorkiNg leNgth

81 35 025s 0.25 mm tip 1 pair81 35 050s 0.5 mm tip 1 pair81 35 100s 1.0 mm tip 1 pair82 35 10fs 1.0 mm tip 1 pair – (finesse) 81 35 200s 2.0 mm tip 1 pair

9.5” total leNgth aNd a 4.5” WorkiNg leNgth

81 45 025s 0.25 mm tip 1 pair81 45 050s 0.5 mm tip 1 pair81 45 100s 1.0 mm tip 1 pair81 45 200s 2.0 mm tip 1 pair

10.5” total leNgth aNd a 5.5” WorkiNg leNgth

81 55 025s 0.25 mm tip 1 pair81 55 050s 0.5 mm tip 1 pair81 55 100s 1.0 mm tip 1 pair81 55 200s 2.0 mm tip 1 pair

iSocool BiPolar forcePS haNdle

80 10 010h isocool Bipolar forceps handle – flat & insulated

2.0 mm

1.0 mm

.5 mm

.25 mm

isocool product informationforcePS haNdle aNd SiNgle-uSe gold tiPS

SiNgle-uSe tiPS

10

toP | Side

8135025s (.25 mm)

toP | Side

8135050s (0.5 mm)

toP | Side

8135100s (1.0 mm)

toP | Side

8135200s (2.0 mm)

iSocool tiP SiZeS (actual SiZe)

toP | Side

823510fs (1.0 mm)

ac

tu

al

SiZ

e

iSocool BiPolar forcePS haNdle

ORDERING & LENGTHISOCOOL BIPOLAR FORCEPS TOTAL LENGTHAND WORKING LENGTH FORCEPS

ITEM TIP SIZE8.5” TOTAL LENGTH AND A 3.5” WORKING LENGTH

81 35 025S 0.25 mm tip 1 pair81 35 050S 0.5 mm tip 1 pair81 35 100S 1.0 mm tip 1 pair82 35 10GL 1.0 mm tip 1 pair – ( GL )81 35 200S 2.0 mm tip 1 pair

9.5” TOTAL LENGTH AND A 4.5” WORKING LENGTH

81 45 025S 0.25 mm tip 1 pair81 45 050S 0.5 mm tip 1 pair81 45 100S 1.0 mm tip 1 pair81 45 200S 2.0 mm tip 1 pair

10.5” TOTAL LENGTH AND A 5.5” WORKING LENGTH

81 55 025S 0.25 mm tip 1 pair81 55 050S 0.5 mm tip 1 pair81 55 100S 1.0 mm tip 1 pair81 55 200S 2.0 mm tip 1 pair

ISOCOOL BIPOLAR FORCEPS HANDLE

80 10 010H ISOCOOL Bipolar Forceps Handle – Flat and Insulated

ISOCOOL PRODUCT INFORMATIONFORCEPS HANDLE AND SINGLE-USE GOLD TIPS

TOP | SIDE

8135025S(.25 mm)

TOP | SIDE

8135050S(0.5 mm)

TOP | SIDE

8135100S(1.0 mm)

TOP | SIDE

8135200S(2.0 mm)

ISOCOOL TIP SIZES

2.0 mm

1.0 mm

.5m

m

.25 mm

SINGLE-USE TIPS

325 Paramount DriveRaynham, MA 02767

To order, call (800) 255-2500For more information, contact your Codman Sales RepresentativeFor product information, call: (800) 225-0460.

©2007 Codman & Shurtleff, Inc. All Rights Reserved.

INDICATIONS:

The ISOCOOL Bipolar Forceps (handles and tips) when used as partof a system including bipolar electrosurgical generator are indicated forcauterizing, coagulating, grasping and manipulating tissue during generalsurgery, neurosurgery, ENT surgery, OB/GYN surgery, and maxillofacial/plastic surgery procedures. Indications for use in OB/GYN Surgeryexclude contraceptive coagulation of fallopian tube tissue. Data on file.

ISOCOOL BIPOLAR FORCEPS HANDLE

ELS-21-000 HOT/RPI 06/07

AC

TU

AL

SIZ

E

TOP | SIDE

823510GL(1.0 mm)

823510GL

ORDERING & LENGTHISOCOOL BIPOLAR FORCEPS TOTAL LENGTHAND WORKING LENGTH FORCEPS

ITEM TIP SIZE8.5” TOTAL LENGTH AND A 3.5” WORKING LENGTH

81 35 025S 0.25 mm tip 1 pair81 35 050S 0.5 mm tip 1 pair81 35 100S 1.0 mm tip 1 pair82 35 10GL 1.0 mm tip 1 pair – ( GL )81 35 200S 2.0 mm tip 1 pair

9.5” TOTAL LENGTH AND A 4.5” WORKING LENGTH

81 45 025S 0.25 mm tip 1 pair81 45 050S 0.5 mm tip 1 pair81 45 100S 1.0 mm tip 1 pair81 45 200S 2.0 mm tip 1 pair

10.5” TOTAL LENGTH AND A 5.5” WORKING LENGTH

81 55 025S 0.25 mm tip 1 pair81 55 050S 0.5 mm tip 1 pair81 55 100S 1.0 mm tip 1 pair81 55 200S 2.0 mm tip 1 pair

ISOCOOL BIPOLAR FORCEPS HANDLE

80 10 010H ISOCOOL Bipolar Forceps Handle – Flat and Insulated

ISOCOOL PRODUCT INFORMATIONFORCEPS HANDLE AND SINGLE-USE GOLD TIPS

TOP | SIDE

8135025S(.25 mm)

TOP | SIDE

8135050S(0.5 mm)

TOP | SIDE

8135100S(1.0 mm)

TOP | SIDE

8135200S(2.0 mm)

ISOCOOL TIP SIZES

2.0 mm

1.0 mm

.5m

m

.25 mm

SINGLE-USE TIPS

325 Paramount DriveRaynham, MA 02767

To order, call (800) 255-2500For more information, contact your Codman Sales RepresentativeFor product information, call: (800) 225-0460.

©2007 Codman & Shurtleff, Inc. All Rights Reserved.

INDICATIONS:

The ISOCOOL Bipolar Forceps (handles and tips) when used as partof a system including bipolar electrosurgical generator are indicated forcauterizing, coagulating, grasping and manipulating tissue during generalsurgery, neurosurgery, ENT surgery, OB/GYN surgery, and maxillofacial/plastic surgery procedures. Indications for use in OB/GYN Surgeryexclude contraceptive coagulation of fallopian tube tissue. Data on file.

ISOCOOL BIPOLAR FORCEPS HANDLE

ELS-21-000 HOT/RPI 06/07

AC

TU

AL

SIZ

E

TOP | SIDE

823510GL(1.0 mm)

823510GL

ORDERING & LENGTHISOCOOL BIPOLAR FORCEPS TOTAL LENGTHAND WORKING LENGTH FORCEPS

ITEM TIP SIZE8.5” TOTAL LENGTH AND A 3.5” WORKING LENGTH

81 35 025S 0.25 mm tip 1 pair81 35 050S 0.5 mm tip 1 pair81 35 100S 1.0 mm tip 1 pair82 35 10GL 1.0 mm tip 1 pair – ( GL )81 35 200S 2.0 mm tip 1 pair

9.5” TOTAL LENGTH AND A 4.5” WORKING LENGTH

81 45 025S 0.25 mm tip 1 pair81 45 050S 0.5 mm tip 1 pair81 45 100S 1.0 mm tip 1 pair81 45 200S 2.0 mm tip 1 pair

10.5” TOTAL LENGTH AND A 5.5” WORKING LENGTH

81 55 025S 0.25 mm tip 1 pair81 55 050S 0.5 mm tip 1 pair81 55 100S 1.0 mm tip 1 pair81 55 200S 2.0 mm tip 1 pair

ISOCOOL BIPOLAR FORCEPS HANDLE

80 10 010H ISOCOOL Bipolar Forceps Handle – Flat and Insulated

ISOCOOL PRODUCT INFORMATIONFORCEPS HANDLE AND SINGLE-USE GOLD TIPS

TOP | SIDE

8135025S(.25 mm)

TOP | SIDE

8135050S(0.5 mm)

TOP | SIDE

8135100S(1.0 mm)

TOP | SIDE

8135200S(2.0 mm)

ISOCOOL TIP SIZES

2.0 mm

1.0 mm

.5m

m

.25 mm

SINGLE-USE TIPS

325 Paramount DriveRaynham, MA 02767

To order, call (800) 255-2500For more information, contact your Codman Sales RepresentativeFor product information, call: (800) 225-0460.

©2007 Codman & Shurtleff, Inc. All Rights Reserved.

INDICATIONS:

The ISOCOOL Bipolar Forceps (handles and tips) when used as partof a system including bipolar electrosurgical generator are indicated forcauterizing, coagulating, grasping and manipulating tissue during generalsurgery, neurosurgery, ENT surgery, OB/GYN surgery, and maxillofacial/plastic surgery procedures. Indications for use in OB/GYN Surgeryexclude contraceptive coagulation of fallopian tube tissue. Data on file.

ISOCOOL BIPOLAR FORCEPS HANDLE

ELS-21-000 HOT/RPI 06/07

AC

TU

AL

SIZ

E

TOP | SIDE

823510GL(1.0 mm)

823510GL

11

325 paramount driveraynham, mA 02767

to order, call (800) 255-2500for more information, contact your codman sales representativefor product information, call: (800) 225-0460.

© 2007 codman & shurtleff, inc. All rights reserved. els-08-004 hot/rpi 10/07

indications:

the isocool Bipolar forceps (handles and tips) when used as part of a system including bipolar electrosurgical generator are indicated for cauterizing, coagulating, grasping and manipulating tissue during general surgery, neurosurgery, ent surgery, oB/gyn surgery, and maxillofacial/plastic surgery procedures. indications for use in oB/gyn surgery exclude contraceptive coagulation of fallopian tube tissue. data on file.

Continuous coagulation virtually eliminates interruptions

enhances ability to coagulate delicate tissue in fine detail

reduces surgeon frustration and fatigue, leading to increased efficiency

Can eliminate vessel rebleeding

Can reduce inadvertent collateral and peripheral tissue damage

Shorter procedures are a benefit to surgeons, hospitals